HEENT Flashcards
What are somatic senses
Tactile, thermal, pain and proprioceptive sensations
What are visceral senses
Provides sensations to internal organs
What do mechanoreceptors detect
Mechanical deformation of adjacent cells
What do thermoreceptors detect
Changes in temperature
What do nociceptors detect
Pain
What do photoreceptors detect
Light
What do chemoreceptors detect
The presence of chemicals in solution
What do osmoreceptors detect
Osmotic pressure of fluids
Tactile somatic senses are located where
In the skin or subcutaneous tissue
(Touch, pressure, vibration, itch and tickle)
Thermal receptors are located where
In the epidermis and the dermis
Pain receptors are located everywhere except
The brain
Temperatures as low as _____ and as high as ____ can be detected
As low as 50F and as high as 118F
Anything above or below that stimulates pain receptors
What is fast pain characterized as
Acute, sharp or prickling pain. This pain is precisely located
What is slow pain
Chronic, aching, burning or throbbing and is more diffuse
What is proprioception
It is known as the kinesthetic sense or the perception of body movements
Where are proprioceptors located in
The skeletal muscles, tendons, joint and hair cels in the middle ear that monitor the orientation of the head relative to the ground
Where is the olfactory epithelium found
In the inferior surface of the cribriform plate (of the ethmoid bone of the skull)
What is gustation
The sense of taste
What is the five primary tastes
Salt, sweet, bitter, sour and umami
What CN carries taste information from the anterior 2/3 of the tongue
CN VII
What CN carries taste information from the posterior 1/3 of the tongue
CN IX
How do tears flow
From the lacrimal gland through the lacrimal ducts and then drain from surface of the eye through the lacrimal canaliculi and then to the nasolacrimal duct.
The nasolacrimal duct flows into the nasal cavity
What are the six extrinsic muscles that work together to move the eye ball
Superior rectus, inferior rectus, lateral rectus, medial rectus, superior oblique and inferior oblique
What is the middle layer of the eye also called and what three portions compose it?
The vascular tunic
And composed of the choroid, ciliary body and the iris
What is the function of the retina
It is in the posterior three-quarters of the eye and functions in image formation
What do rods allow us to see
Shades of gray in dim light
What do cones allow us to see
They are instrumental in color vision and visual acuity
What is a transparent structure that focuses light rays onto the retina
The lens
What is the pressure in the eye called and what is it produced by
Intra ocular pressure (IOP) and it is produced by the aqueous humor (mainly) and the vitreous body
What is normal IOP
~16 mm HG
It helps maintain the shape of the eyeball and keeps the retina in position and nourished
What is the bending of light rays where two different substances meet.
Refraction
What structure of the eye carries out 75% of refraction
The cornea
What muscle contracts for viewing near objects and relaxes for far objects
The ciliary muscle
When does visual stimulation begin
With the absorption of light rays by the rods and cones of the retina
What vitamin deficiency decreases rhodopsin production and leads to night blindness
Vitamin A
What is the visual pathway to the brain
Rods and cones convey impulses, impulses from ganglion cells are conveyed along axons through the retina to the optic nerve (CN II), the optic chiasm, optic tract and cerebral cortex, and sight is perceived in the primary visual areas of the occipital lobe of the brain. (Right side receives images from the left )
What is the external aspect of the ear that collects sound waves and directs them toward the auditory canal
Auricle
How is the middle ear connected with the upper part of the throat
By way of the auditory tube (Eustachian tubes)
What are the three tiny bones of the middle ear
Malleus
Incus
Stapes
What is the physiology of hearing
Sound waves enter the ear through the external auditory canal, strike the tympanic membrane and are conducted through the ossicles (malleus, incus and stapes)
What is the auditory pathway to the brain
Nerve impulses form the cochlear branch of the vestibulocochlear nerve (VIII) pass to the midbrain and thalamus and ultimately go to the primary auditory area in the temporal lobe
What are the two types of equilibrium
Static and dynamic
What is static equilibrium
Linear acceleration or deceleration
What is dynamic equilibrium
Sudden movements such as rotational acceleration or deceleration
The linkage between the medulla cerebellum and cerebrum enable the cerebellum to play a role in what
Maintaining equilibrium
How large is the thyroid typically
4 cm
And the right lobe is often 25% larger than the left
Fine or coarse hair may indicate what
Related to thyroid disease
What facial features does a person with Down syndrome have
Depressed nasal bridge
Epicanthal folds
Mongloid slant of eyes
Low set ears
Large tongue
How does lupus present on the face
Butterfly rash
Malar surfaces and bridge of nose
Blush with swelling
Scaly red macullopapular lesions
Where is the most common location of a salivary gland tumor
Parotid
Which cranial nerve controls the locator palpebrae superior (elevates and retracts upper eyelid)
CN III
Which cranial nerve controls the superior oblique muscles
CN IV
Which cranial nerve controls the lateral rectus muscle
CN VI
What is the posterior 5/6 of the globe, dense, a vascular white portion of the eye
Sclera
What is the anterior 1/6 of the globe and is continuous with the sclera
The cornea
What is it called when eye lids do not completely close and what is the common cause of that
Lagophthalmos
Common causes are thyroid disease, Bell’s palsy, over aggressive pitosis or blepharoplasty surgical repair
What is it called when the lid is turned away from the eye and may result in excessive tearing
Ectropion
What is it called when the lid is turned inward toward the glove
Entropion
What is an acute supportive inflammation (staphylococcal) of the follicle of an eye lash that forms an erythematous or yellow lump
Hordeolum (stye)
What is crusting along the eyelashes caused by bacterial infection
Blepharitis
What is it called when a pupil fails to dilate in the dark
Miotic
Commonly caused by ingestion of narcotics or drugs that control glaucoma
What is anisocoria
Inequality of pupillary size
What is the pupillary dial action of more than 6mm and failure of the pupils to constrict with light
Myadriasis
May indicate coma or may be caused from the use of eye drops
What is a convergence of small fragile arteries and veins located on the anterior superior portion of the septum
Kiessalbach plexus
What are stensen ducts
Parotid gland outlets that open on the baccalaureate mucosa opposite the second molar on each side of the upper jaw
What are Wharton ducts
Open on each side of the frenulum under the tongue
They drain saliva from the submandibular and sublingual glands to the sublingual caruncle at the base of the tongue
What are ototoxic medications
Aminoglycosides (gentamicin)
Streptomycin
Quinine
Chemotherapy (cisplatin)
Antimalarial (quinine)
Salicylates
Furosemide
Salt-retaining medications such of corticosteroids
Patients with anterior packing should have the packing removed by an experienced health care provider in what time frame
48 to 72 hours
What type of forceps are used in nasal packing
Bayonet forceps
Taste buds are found elevations on the tongue called what
Papillae